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PROVIDENCE COMMUNITY HEALTH, LLC - Florida Company Profile

Company Details

Entity Name: PROVIDENCE COMMUNITY HEALTH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

PROVIDENCE COMMUNITY HEALTH, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 03 Dec 2020 (4 years ago)
Document Number: L20000378949
FEI/EIN Number 85-4350502

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 2150 S CONGRESS AVE, PALM SPRINGS, FL, 33406, US
Mail Address: 2150 S CONGRESS AVE, PALM SPRINGS, FL, 33406, US
ZIP code: 33406
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093471815 2021-11-16 2021-11-16 2150 S CONGRESS AVE, PALM SPRINGS, FL, 334067604, US 2150 S CONGRESS AVE, PALM SPRINGS, FL, 334067604, US

Contacts

Phone +1 561-619-3891

Authorized person

Name SAUL ERNEST
Role MANAGING MEMBER
Phone 5616193891

Taxonomy

Taxonomy Code 363L00000X - Nurse Practitioner
Is Primary Yes

Key Officers & Management

Name Role Address
ERNEST SAUL Manager 16225 SW 19TH STREET, MIRAMAR, FL, 33027
DORVAL JULINA T Manager 5932 NE 2 AVE, MIAMI, FL, 33137
ERNEST SAUL Agent 16225 SW 19TH ST, MIRAMAR, FL, 33027

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-10-13 2150 S CONGRESS AVE, PALM SPRINGS, FL 33406 -
CHANGE OF MAILING ADDRESS 2021-10-13 2150 S CONGRESS AVE, PALM SPRINGS, FL 33406 -
REGISTERED AGENT ADDRESS CHANGED 2021-10-13 16225 SW 19TH ST, MIRAMAR, FL 33027 -

Documents

Name Date
ANNUAL REPORT 2025-01-28
ANNUAL REPORT 2024-04-07
ANNUAL REPORT 2023-04-30
ANNUAL REPORT 2022-03-04
AMENDED ANNUAL REPORT 2021-10-13
AMENDED ANNUAL REPORT 2021-08-19
AMENDED ANNUAL REPORT 2021-07-26
ANNUAL REPORT 2021-04-30
Florida Limited Liability 2020-12-03

Date of last update: 03 Apr 2025

Sources: Florida Department of State